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1235604265
THEODORE FOTABE ESEGEMU
TAKOMA PARK, MD
NPI
1235604265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC 14011)
Enumeration Date
2018-10-05
Last Update Date
2018-10-05
Business Address
MR. THEODORE FOTABE ESEGEMU
7401 NEW HAMPSHIRE AVE APT 809
TAKOMA PARK, MD 20912-6952
Phone number: 240-743-0201
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Mailing Address
MR. THEODORE FOTABE ESEGEMU
7401 NEW HAMPSHIRE AVE APT 809
TAKOMA PARK, MD 20912-6952
Phone number: 240-743-0201
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